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CC BY 4.0 · Rev Bras Ortop (Sao Paulo) 2024; 59(S 02): e188-e193
DOI: 10.1055/s-0044-1779313
Relato de Caso

Forma localizada da sinovite vilonodular pigmentada no ombro: Relato de caso tratado por artroscopia

Article in several languages: português | English
Jair Simmer Filho 
1   Serviço de Ortopedia e Traumatologia, Hospital Santa Rita de Cássia, Vitória, ES, Brasil
,
Thiago Henrique Cruz Ghidetti
1   Serviço de Ortopedia e Traumatologia, Hospital Santa Rita de Cássia, Vitória, ES, Brasil
,
Raul Meyer Kautsky
1   Serviço de Ortopedia e Traumatologia, Hospital Santa Rita de Cássia, Vitória, ES, Brasil
› Author Affiliations Suporte Financeiro Os autores declaram que não houve apoio financeiro de fontes públicas, comerciais, ou sem fins lucrativos.
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Resumo

A sinovite vilonodular pigmentada (SVNP), na forma localizada no ombro, é rara e pouco descrita na literatura. Apresentamos o caso de uma paciente de 58 anos, do sexo feminino, sem relato de trauma, com sintomas álgicos de 2 meses de evolução, sem irradiação para o membro, associados a perda de força de elevação e limitação progressiva da mobilidade ativa e passiva. A paciente realizou fisioterapia sem supervisão, sem melhora dos sintomas. A ressonância magnética (RM) do ombro mostrou imagem ovalada com aproximadamente 2 cm de diâmetro na região anteroinferior da articulação glenoumeral com focos de hipossinal em seu interior. Realizamos o tratamento artroscópico, com ressecção marginal da lesão e tenotomia da cabeça longa do bíceps. O resultado do exame anatomopatológico constatou SVNP. Após 4 anos e 5 meses da cirurgia, a paciente encontra-se sem dor, e apresenta recuperação total da função do ombro esquerdo, com RM de controle sem recidiva, o que demonstra a eficácia do tratamento artroscópico neste caso.

Palavras-chave

articulação do ombro - artroscopia - lesões do ombro - tumor de células gigantes de bainha tendinosa

Trabalho desenvolvido no Hospital Santa Rita de Cássia, Vitória, ES, Brasil.




Publication History

Received: 04 May 2022

Accepted: 29 May 2023

Article published online:
22 April 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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